Provider Demographics
NPI:1073505194
Name:WOMAN'S HEALTHCARE GROUP
Entity Type:Organization
Organization Name:WOMAN'S HEALTHCARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-346-6400
Mailing Address - Street 1:PO BOX 11226
Mailing Address - Street 2:WOMAN'S HC GROUP
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-0226
Mailing Address - Country:US
Mailing Address - Phone:518-346-6400
Mailing Address - Fax:
Practice Address - Street 1:2210 TROY SCHENECTADY RD
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-4725
Practice Address - Country:US
Practice Address - Phone:518-346-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
55905AMedicare ID - Type UnspecifiedGROUP MEDICARE NUMBER